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000700
ST ATEMENT OF LIEN
RECEIVED 11/9/2006 at 10:50 AM
RECEIVING # 924252
STATE OF WYOMING ) BOOK: 639 PAGE: 700 ,
) ss. JEANNE WAGNER .
COUNTY OF LINCOLN ) LINCOLN COUNTY CLERK, KEMMERER, WY
I, Sharon L. Backus, Manager for Star Valley Ranch Association, Inc., a
Wyoming Corporation, being first duly sworn, hereby state as follows:
1. Star Valley Ranch Association, Inc., is located at 781 Vista Drive, P.O.
Box 159 Thayne, WY 83127 and is the entity hereby seeking enforcement of this Lien.
2. That under the provisions of the Declaration of Covenants, Conditions and
Restrictions of the Star Valley Ranch Subdivision and the Association ("the Declaration)
Melvin J. Wooden and Julene Wooden, husband and wife 1/2 undivided interest, Shane
Wagstaff and Michelle Wagstaff, husband and wife, 1/2 undivided interest as tenants in
common, owe to Star Valley Ranch Association, Inc., the amount of $545.26.
3. That the last known address of Melvin 1. Wooden, Julene Wooden and
Shane Wagstaff, Michelle Wagstaff is 602 West 800 South Alpine, UT 84004
4. That said debt is owed because of Melvin J. Wooden & Julene Wooden
and Shane Wagstaff & Michelle Wagstaff's obligation under the Declaration of
Covenants, Conditions and Restrictions of the Star Valley Ranch Subdivision and the
Association.
5. That the name of the person(s) against whom this Lien is claimed is:
Melvin J. Wooden and Julene Wooden, husband and wife 1/2 undivided interest, Shane
Wagstaff and Michelle Wagstaff, husband and wife, 1/2 undivided interest as tenants in
common.
6. That this Lien is for the Association Dues due and owing to Star Valley
Ranch Association, Inc. for the year of 2006.
7. That the legal description of the property benefited by the services of Star
Valley Ranch Association, Inc. is: Lot 93 in Star Valley Ranch Plat 5, Lincoln County
Wyoming.
8. That a copy of the instrument creating the obligation is attached as
EXHIBIT A.
DATED this (¡~y of November, 2006.
Statement of Lien
Page l.of2
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000701.
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Star Valley Ranch Association, Inc.
SUBSCRIBED AND SWORN TO, AND ACKNOWLEDGED before me by
SHARON BACKUS, who acknowledged further that she is the Manager of Star Valley
Ranch Association, Inc., and that she signed the foregoing STATEMENT OF LIEN for
and on behalf of Star Valley Ranch Association, Inc. p~uant to the authority given to
her by said Corporation's Board of Directors, this ~ day of November, 2006.
WITNESS my hand and official seal.
MARY E. GARRETT - NOTARY PUBUC
County of
UncoIn
State of
Wyoming
Æ ~
~.¿ . '(øItW
NO 1\ PUBLIC
Commission Expil'Øll October 5. 2009
My Commission expires: /ji-5 -tJf'
Statement of lien
Page 2of2
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